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Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

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Page 1: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Participatory Intervention with Children and Teenagers in Need,

Federal District, Brazil

Indyara de Araujo MoraisStudent of Public Health

Page 2: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Participatory Intervention with Children and Adolescents in Need. Federal District. Brazil

• Indyara de Araujo Morais¹• Antonio Cipriano Neto¹• Emmanuel Garcia Nascimento¹• Matheus Jacobina de Jesus¹• Oscar Peixoto¹• Olga Maria Ramalho de Albuquerque²

• ¹ Graduate students in Public Health• ² Professor of Graduation Public Health and

counselor of the project.

Page 3: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Introduction

• Health Promotion• “Process of exchanging knowledge with the

community to work on improving the quality of life and health, including greater participation in the control their health’s determinants.” (WHO,

1986)

Page 4: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Introduction

• Health Promotion Action Means: – Build Healthy Public Policy;– Strengthening Community Action;– Creating Supportive Environments to Health;– Development of Personal Skills;– Reorient Health Services;– Moving Into the Future. (WHO 1986)

Page 5: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Introduction

• According to the Brazilian Statute of Children and Teenagers:“Child - people with up to twelve years incomplete

Teenagers - people between twelve and eighteen years of age. It is the duty of the family, community, society in general and

the public power to ensure, with absolute priority to put the rights concerning life, health, food, education, sports, leisure, professional training, culture, dignity , respect, freedom, and

family life and community coexistence. “ (ECA , 1990)

Page 6: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Introduction

• The institution COSE - Education Advising Center Partner :– plays an important role in strengthening family

life, which serves children, adolescents, adults and elderly community of low economic partner.

– Offers various activities. – Its approach to health is the predominant socio

environmental for all ages. But for children and adolescents the behavioral appears necessary.

Page 7: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Introduction

COSE’s photos. 2011.

Page 8: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Introduction

"The actions taken at all levels of care, and treating and / or preventing diseases,

intended also to promote child growth and development from the perspective of quality

of life.”(Marciel et al 2010)

“ Children have a different characteristic, they tend to "mirror" in adults.” (Assao 2007)

Page 9: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Objective

• To identify the needs from the children and teenagers, along with the researchers, in order to determine possible interventions.

Page 10: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Methodology

• Action research from Kurt Lewin.– The method of action research that has influence of

the subject and investigator on the project.– Decisions about actions are taken collectively.– The dialogue between the researcher and the group

establishes a relationship between the popular and scientific knowledge. There is an exchange of knowledge that ensures social sense in the production of knowledge and educational activities.

Page 11: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Methodology.Fig.01: Taguatinga, 25 km from the capital city of Brazil.

Font: Google maps, 2012

Page 12: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Methodology

•There were 35 children and adolescents in the morning shift.•We made five visits to COSE. •69% were boys and 31% were girls.

Page 13: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Methodology

6 and 7 years 8 and 9 years 10 and 11 years 12 and 13 years 14 and 15 years0

2

4

6

8

10

12

7

10 10

6

2

Number by Age of Children and Adolescents from COSE Bernardo Sayão, 2011.

Series1

Page 14: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Methodology

First Grade Second Grade Third Grade Fourth Grade fifth grade seventh grade eighth grade0

1

2

3

4

5

6

7

8

9

2

7

4

8 8

2

4

Number of Children and Adolescents by Grade in Fundamental Education, COSE Bernardo

Sayão, 2011.

Page 15: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Methodology• We played games with the children on the first

day, because according to literature what the child likes best is to play.

"It is playing that they learn to deal with the serious: to live, think and understand situations that they are still so complicated" (Araújo, 1998)

• After we talked to them, we asked them to draw what was health for themselves.

• All subsequent meetings were planned according to what the children spoke on this first day.

Page 16: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Results• Truly what kids like to do most is play. But what

teenagers and pre-teenagers most enjoy is to chat.• For them being healthy is:

1. Having friends2. Taking care of water3. Having ambulances4. Having hospitals5. A well cared environment6. Helping friends7. Going to the health center

Page 17: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Results• According to them is bad for children's health:

1. Dirt2. Dust3. Too much clean4. High fat foods 5. Drugs6. Lack of hygiene7. A lot of noise8. Tobacco9. Do not play10. Eating too much candy

Page 18: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Results

• Identifying needs: Read more

Performing dramaStencil WorkshopSportsArtsStorytellingPlay trampolineComputer Room

Video RoomForeign languageMoviesPerforming tripsSwimming lessonsPlay more

Page 19: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Results• Activities developed:

– Joking node;– Drawing about health;– Game of musical chairs;– Jokes with balloons;– Jump rope;– Soccer game;– Basketball game;– Chess;– Domino game;– Checkers game;– Joke spelling;– Play dodgeball;– Films.

Page 20: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Results

• Partnership and empowerment of the group members.

• Building an environment of peace between them with the interaction of children and adolescents whom they did not know, despite spending half the day together.

Page 21: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Results

* To be a singer, a dj, a doctor, a nurse, a journalist, a cop, a teacher, a gynecologist.

Don't knowTo have a new doll

Professions*Meet their dad

To know Justin BieberParents live together

To have a fancy carTo be Spider Man

To be the President of BrazilTo be soccer player

Travel around the world

0 1 2 3 4 5 6 7 8 9 107

19

211111

63

Characterization of Dreams Children and teenagers by number, COSE Bernardo Sayão, 2011.

Page 22: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Results

There was no answer

Travel more

To chat more with their parents

To end the figths into COSE

Don't have school

0 2 4 6 8 10 12 148

21

2111

43

12

What Children and Teenagers would change in theirs Lives. COSE Bernardo Sayão, 2011.

Page 23: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Results• Relationship between researchers and

researched.• Develop an intervention with existing resources.• The biggest difficulty was the number of

children and the variety of ages.• In our analysis group into children and

adolescents evaluated that we can promote the union in the group.

Page 24: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Final Considerations• Including children as a partner in the

development of joint intervention, the act of listening and involve them in decisions making, has contributed to its formation as a citizen through legitimating their voices and their perspectives. It helped them to develop an environment that meets their real needs.

Page 25: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Thanks for your attention

Page 26: Participatory Intervention with Children and Teenagers in Need, Federal District, Brazil Indyara de Araujo Morais Student of Public Health

Bibliography• MARCIEL, Ethel Leonor ; OLIVEIRA, Carla Braga ; FRECHIANI, Janaína Menezes ;

SALES, Carolina Maia Martins ; BROTTO, Léia Damasceno de Aguiar ; ARAÚJO, Maristela Dalbello. Projeto Aprendendo Saúde na Escola: a experiência de repercussões positivas na qualidade de vida e determinantes da saúde de membros de uma comunidade escolar em Vitória, Espírito Santo. Ciências e Saúde Coletiva, Vitória, v. 15, n.2, p. 389-396, mar. 2010.

• ASSAO, Tatiana Yuri. Percepções e práticas sobre alimentação infantil entre os educadores de creches públicas, São Paulo. 2007. 119 f. Dissertação (Mestrado em nutrição) – Faculdade de Saúde Pública, Universidade de São Paulo. São Paulo, 2007.

• ARAÚJO, Rosana Palhares Zschaber. O brincar como recurso terapêutico. Cadernos de Terapia Ocupacional. Belo Horizonte, v. 8, n. 1, p. 01 a 116, outubro de 1998.

• Estatuto da Criança e do Adolescente, Lei N° 8.069, de 13 de julho de 1990.• REIGADA, Carolina; REIS, Marilia Freitas de Campos Tozoni. Educação ambiental para

crianças no ambiente urbano: uma proposta de pesquisa-ação. Ciênc. educ. (Bauru), Bauru, v. 10, n. 2, 2004

• BATISTA FREIRE, JOÃO; MARA LAGUNA SANTANA, GEISA.Relações sociais no desenvolvimento da imaginação por meio de jogos. Motriz,Rio Claro, v.13, n. 4, p.249-258, out./dez. 2007.

• FRANCO, Maria Amélia Santoro. Pedagogia da pesquisa-ação. Educ. Pesqui. [online]. 2005, vol.31, n.3, pp. 483-502. ISSN 1517-9702.  doi: 10.1590/S1517-97022005000300011.